ArticleJournal of orthopaedic case reports2026
A Rare Case of Chronic Pan-Diaphyseal Osteomyelitis of the Fibula in a Child Treated by Near Total Fibulectomy: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Osteomyelitis in children typically affects the metaphysis of long bones, most commonly the femur and tibia. Fibular involvement is rare, accounting for <10% of pediatric osteomyelitis cases. Pan-diaphyseal involvement is even rarer. Case Report: A 7-year-old girl presented with a chronic discharging sinus, pain, and swelling in the right leg for 10 months following minor trauma. Radiographs and magnetic resonance imaging revealed chronic pan-diaphyseal osteomyelitis of the fibula with a pathological fracture. After failed conservative management, she underwent sequestrectomy and near-total fibulectomy, preserving the distal 5 cm to maintain ankle stability. Intraoperative cultures confirmed methicillin-sensitive Staphylococcus aureus, and she received targeted antibiotic therapy. She achieved full recovery with a normal gait and no recurrence at 3-month follow-up. Conclusion: This case highlights the importance of early suspicion and aggressive surgical management for chronic fibular osteomyelitis in children. Near-total fibulectomy is feasible and functionally successful when the distal fibula is preserved.
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